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Missouri rates for HCPCS L5648

Addition to lower extremity, above knee (AK), air, fluid, gel or equal, cushion socket

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.05 / $584.34 / $603.05
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.05 / $452.66 / $823.02
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.69 / $907.92 / $3,991.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$447.30 / $482.76 / $699.57
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$589.44 / $589.44 / $589.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.29 / $430.29 / $628.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$395.05 / $696.87 / $4,115.68
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.53 / $463.01 / $777.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$328.53 / $445.39 / $625.15